The Availability and Marketing of Nicotine Pouches at Tobacco-Selling Points-of-Sale in Pakistan

We observed the widespread availability of Velo and the growing nicotine pouch market in Pakistan, underscoring the urgent need for regulation. These products appeal to youth with diverse flavors and affordability, raising concerns about experimentation leading to addiction. Policymakers must prioritize regulating manufacturing, sales, and marketing to limit youth access. Limited research in Asia necessitates longitudinal studies to explore the oral health impact of using these products. Continued monitoring of promotions at POS, along with studies on youth perceptions, usage patterns, and influence on tobacco uptake, is critical for effective policy development.